3 days old
2018-07-132018-08-12

Director of Accreditation Patient Safety and Risk Management

Mather, CA 95655
Summary
Duties

The incumbent will be responsible for the facility-level coordination and monitoring of the Accreditation and Regulatory Compliance Program, including leadership activities which prepare staff to meet performance expectations of The Joint Commission, the VA Office of the Inspector General (VA Inspector General Combined Assessment Program), Long Term Care Institute (LTCI), Commission on Accreditation and Rehabilitation Facilities (CARF), as well as other accreditation and regulatory compliance bodies. The incumbent will develop and modify appropriate strategies to monitor these programs and will coordinate operational plans to achieve associated performance improvement goals. The Director of Accreditation, Patient Safety & Risk Management is responsible for ensuring the continuation of all program components including, Accreditation, Patient Safety, Risk Management, and in the absence of the Chief of Quality Management, will also provide supervision for Performance Measurement and Management, Operations, System Redesign, and Credentialing/Privileging staff (as assigned).

The incumbent will have leadership responsibilities in the implementation and maintenance of the continued readiness/accreditation preparation program, patient safety, and risk management as they fall under the Quality Management domain, which includes the direct supervision of the Quality Management employees assigned to those programs (i.e., Patient Safety Manager, Risk Manager, Quality Consultants, Program Analyst, and supportive Program Support Assistant).

The incumbent will also participate in internal investigations as necessary. Achievement of these responsibilities will require strong skills in: data extraction, evaluation and trending; chart review; leading ad hoc task groups and meetings; teaching; electronic data reporting; development of spreadsheets, tables and graphs; presentation development; priority-setting and critical thinking skills; the ability to facilitate change and improvement using principles of Systems Redesign and similar methodologies; strong leadership and interpersonal communication skills.

The incumbent will also serve as Acting Chief of Quality Management Service as necessary.

Work Schedule: Monday - Friday, 8am - 4:30pm
Financial Disclosure Report: Not required

graph of estimated pay ranges
$86,300
$151,296
Job Details
Application Open Date
7/10/2018

Application Close Date
7/26/2018
Organization
Veterans Affairs, Veterans Health Administration

Who May Apply
None

Status
None


  • More About VAOpen More About VA SectionClose More About VA Section
    • Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.

      This job opportunity announcement may be used to fill additional vacancies.

      It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

      This position is in the Excepted Service and does not confer competitive status.

      United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

      VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

      Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

      If you are unable to apply online view the following link for information regarding an Alternate Application.

  • QualificationsOpen Qualifications SectionClose Qualifications Section
    • Basic Requirements:
      • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
      • Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing.
      • Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.
      Preferred Experience:
      • 5 years of experience as a Registered Nurse
      • Master's degree in nursing or related field
      • Certification as a Clinical Nurse Specialist or a Clinical Nurse Leader
      • Certified Professional in Healthcare Quality (CPHQ)
      • Certified Joint Commission Professional (CJCP)
      • Prior experience in Quality Management or Systems Redesign
      • Extensive experience with accreditation and/or regulatory compliance
      • Certification in lean management (green belt or black belt training)
      • Prior experience in teaching (as a faculty member at a college or university)
      • Strong writing and communication skills
      • Adaptable with changing priorities
      • The ideal incumbent will have a background and working knowledge of health care delivery and quality management/performance improvement principles. Experience in accreditation preparation and driving systems change is preferred. Clinical training and experience is an asset and must include knowledge of medical terminology, anatomy, physiology, and medical and nursing diagnoses.The incumbent must have knowledge in areas of accepted standards of health care delivery; standards and methods of documentation of patient care; standards and methods of evaluation of patient care; medical record analysis for appropriateness of safe care; systems theory; and data extraction, evaluation, and reporting techniques.
      • The idea incumbent should be competent in interpersonal skills to collaborate with all disciplines in promoting safe and quality health care.The incumbent should possess the ability to listen effectively, educate, negotiate, develop rapport, and promote a cooperative working relationship with all levels of employees, not only within the Quality Management Service and Director's Office but throughout VANCHCS, the VISN, and the public health care community.
      • The incumbent should have the ability to function in an independent and self-directed role.

      Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
      • Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
      • Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
      • Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
      • Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
      • Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree.
      Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.

      Physical Requirements:
      The work is primarily sedentary. Typically, the employee may sit comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items such as papers, books, small parts; driving an automobile, etc. No special physical demands are required to perform the work. The work involves moderate risks or discomforts which require special safety precautions, e.g., working with risk of exposure to contagious disease, radiation, or infection or in working with emotionally disturbed patients. Precautions are routine for nearly all situations. Nurses may be required to use protective clothing or gear.
  • BenefitsOpen Benefits SectionClose Benefits Section
  • How To ApplyOpen How To Apply SectionClose How To Apply Section
    • All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 07/26/2018 to receive consideration.

      1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
      2. Click Submit My Answers to submit your application package.

      NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

      To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
  • Additional DetailsOpen Additional Details SectionClose Additional Details Section
    • Series: 0610-Nurse
      Job Pay Type: Per Year
      Job Openings:
      Job Position: CBEC-10253756-18-AYA

      The incumbent will be responsible for the facility-level coordination and monitoring of the Accreditation and Regulatory Compliance Program, including leadership activities which prepare staff to meet performance expectations of The Joint Commission, the VA Office of the Inspector General (VA Inspector General Combined Assessment Program), Long Term Care Institute (LTCI), Commission on Accreditation and Rehabilitation Facilities (CARF), as well as other accreditation and regulatory compliance bodies. The incumbent will develop and modify appropriate strategies to monitor these programs and will coordinate operational plans to achieve associated performance improvement goals. The Director of Accreditation, Patient Safety & Risk Management is responsible for ensuring the continuation of all program components including, Accreditation, Patient Safety, Risk Management, and in the absence of the Chief of Quality Management, will also provide supervision for Performance Measurement and Management, Operations, System Redesign, and Credentialing/Privileging staff (as assigned).

      The incumbent will have leadership responsibilities in the implementation and maintenance of the continued readiness/accreditation preparation program, patient safety, and risk management as they fall under the Quality Management domain, which includes the direct supervision of the Quality Management employees assigned to those programs (i.e., Patient Safety Manager, Risk Manager, Quality Consultants, Program Analyst, and supportive Program Support Assistant).

      The incumbent will also participate in internal investigations as necessary. Achievement of these responsibilities will require strong skills in: data extraction, evaluation and trending; chart review; leading ad hoc task groups and meetings; teaching; electronic data reporting; development of spreadsheets, tables and graphs; presentation development; priority-setting and critical thinking skills; the ability to facilitate change and improvement using principles of Systems Redesign and similar methodologies; strong leadership and interpersonal communication skills.

      The incumbent will also serve as Acting Chief of Quality Management Service as necessary.

      Work Schedule: Monday - Friday, 8am - 4:30pm
      Financial Disclosure Report: Not required

Categories

Best Care / Best Careers

To care for him who shall have borne the battle and for his widow and his orphan." These words, spoken by Abraham Lincoln during his Second Inaugural Address, reflect the philosophy and principles that guide VA in everything we do, and are the focus of our endeavors to serve our Nation's veterans and their families.

 The Department of Veterans Affairs (VA) has one of the most diverse, challenging, and rewarding missions in the United States Government. We strive to meet the needs of the Nation's veterans and their families today and in the future.

VA manages one of the largest health care systems in the world and the nation's leading employer of registered nurses. Nurses in Veterans Health Administration (VHA) are engaged in a variety of roles and have multiple opportunities for career and professional development. The VHA provides veterans and their dependents with many other services such as benefits and education, and also provides burial benefits.

Our goal is to provide excellence in patient care, veterans' benefits and customer satisfaction. We can provide you with challenging, interesting, meaningful work to care for the veterans who have risked their lives to protect our freedom.

 As the Department of Veterans Affairs heads into the 21st century, we will strive to meet the needs of the Nation's veterans today and tomorrow. We are a more customer-focused organization, functioning as "One-VA" and delivering seamless service to our customers.

We benchmark our service with the best in business. We use innovative means and high technology to deliver "World-Class Customer Service". We foster partnerships with our customers and stakeholders, making them part of the decision-making process.

Department of Veterans Affairs is an Equal Opportunity Employer.

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Director of Accreditation Patient Safety and Risk Management

VA Medical Center
Mather, CA 95655

Share this job

Director of Accreditation Patient Safety and Risk Management

VA Medical Center
Mather, CA
US

Separate email addresses with commas

Enter valid email address for sender.

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast